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1831272459
MARIETTA SOULOG VERGARA
STAMFORD, CT
NPI
1831272459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 017464)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Mrs. MARIETTA SOULOG VERGARA MD
743 HOPE ST
STAMFORD, CT 06907
Phone number: 203-964-1212
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Mailing Address
Mrs. MARIETTA SOULOG VERGARA MD
743 HOPE ST
STAMFORD, CT 06907
Phone number: 203-964-1212
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